Central retinal artery occlusion after vaccination with whole virion inactivated SARSCoV- 2 vaccine Covaxin

Coronavirus disease 2019 (COVID-19) vaccinations have been associated with a higher risk of thromboembolic events. There have been no reports of central retinal artery occlusion (CRAO) after vaccination with the indigenously developed Covaxin, and worldwide, there has been only one such isolated cas...

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Main Authors: Meenakshi Thakar, Shruti Bhattacharya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=10;spage=3716;epage=3718;aulast=Thakar
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author Meenakshi Thakar
Shruti Bhattacharya
author_facet Meenakshi Thakar
Shruti Bhattacharya
author_sort Meenakshi Thakar
collection DOAJ
description Coronavirus disease 2019 (COVID-19) vaccinations have been associated with a higher risk of thromboembolic events. There have been no reports of central retinal artery occlusion (CRAO) after vaccination with the indigenously developed Covaxin, and worldwide, there has been only one such isolated case after administration of the AstraZeneca vaccine. We report a case of a 44-year-old healthy man who presented with sudden painless vision loss in his left eye 10 days after receiving Covaxin. His best-corrected visual acuity was minimal perception of light, with a relative afferent pupillary defect. Fundus examination revealed arterial attenuation and macular cherry red spot, suggesting an acute CRAO. Optical coherence tomography showed macular swelling and disorganization of the inner layers due to ischemic sequelae. Blood work was normal and cardiovascular examination was unremarkable. The patient was kept on follow-up. To our knowledge, this is the first case of an isolated CRAO after Covaxin administration, but further studies are needed to evaluate this potential association.
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spelling doaj.art-9dc3ae9ddbc54d89b057b58d6ddb84f52022-12-22T03:32:10ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-0170103716371810.4103/ijo.IJO_1148_22Central retinal artery occlusion after vaccination with whole virion inactivated SARSCoV- 2 vaccine CovaxinMeenakshi ThakarShruti BhattacharyaCoronavirus disease 2019 (COVID-19) vaccinations have been associated with a higher risk of thromboembolic events. There have been no reports of central retinal artery occlusion (CRAO) after vaccination with the indigenously developed Covaxin, and worldwide, there has been only one such isolated case after administration of the AstraZeneca vaccine. We report a case of a 44-year-old healthy man who presented with sudden painless vision loss in his left eye 10 days after receiving Covaxin. His best-corrected visual acuity was minimal perception of light, with a relative afferent pupillary defect. Fundus examination revealed arterial attenuation and macular cherry red spot, suggesting an acute CRAO. Optical coherence tomography showed macular swelling and disorganization of the inner layers due to ischemic sequelae. Blood work was normal and cardiovascular examination was unremarkable. The patient was kept on follow-up. To our knowledge, this is the first case of an isolated CRAO after Covaxin administration, but further studies are needed to evaluate this potential association.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=10;spage=3716;epage=3718;aulast=Thakarcovaxincovid vaccinationcrao
spellingShingle Meenakshi Thakar
Shruti Bhattacharya
Central retinal artery occlusion after vaccination with whole virion inactivated SARSCoV- 2 vaccine Covaxin
Indian Journal of Ophthalmology
covaxin
covid vaccination
crao
title Central retinal artery occlusion after vaccination with whole virion inactivated SARSCoV- 2 vaccine Covaxin
title_full Central retinal artery occlusion after vaccination with whole virion inactivated SARSCoV- 2 vaccine Covaxin
title_fullStr Central retinal artery occlusion after vaccination with whole virion inactivated SARSCoV- 2 vaccine Covaxin
title_full_unstemmed Central retinal artery occlusion after vaccination with whole virion inactivated SARSCoV- 2 vaccine Covaxin
title_short Central retinal artery occlusion after vaccination with whole virion inactivated SARSCoV- 2 vaccine Covaxin
title_sort central retinal artery occlusion after vaccination with whole virion inactivated sarscov 2 vaccine covaxin
topic covaxin
covid vaccination
crao
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=10;spage=3716;epage=3718;aulast=Thakar
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AT shrutibhattacharya centralretinalarteryocclusionaftervaccinationwithwholevirioninactivatedsarscov2vaccinecovaxin